CanScreen5, a global repository for breast, cervical and colorectal cancer screening programs
Authors: Li Zhang, Isabel Mosquera, Eric Lucas, Mary Luz Rol, Andre L. Carvalho, Partha Basu, Daniel Sadowski, Bartlett Natasha, Alison Budd, Ashrafun Nessa, Isabel De Brabander, Annemie Haelens, Sarah Pringels, Jonas Tairo, Solveig Hofvind, J. B. Burrion, Zdravka Valerianova, Jill Tinmouth, Cindy Law, Simbi Ebenuwah, Bronwen McCurdy, Beata Janik, George Pupwe, Linn Fenna Groeneveld, Gry Baadstrand Skare, Penelope Layne, Tytti Sarkeala, Mwate Joseph Chaila, Michal Kaminski, Beata Kinel, Jolanta Lissowska, Inga Mumukunde, Vitor Rodrigues, Robinson Rodríguez, Elena Pérez Sanz, Raquel Zubizarreta Alberdi, Guglielmo Ronco, Nataša Antoljak, Dinka Nakić, Davor Plazanin, Andrea Šupe Parun, Mat Goossens, Andrzej Nowakowski, Harry de Koning, Els Dams, Asha Martin, Mara Epermane, Nataļja Jankovska, Scott Antle, Jacques Fracheboud, Esther Toes-Zoutendijk, Heleen M. E. van Agt, Karen Budewig, Barbara Stomper, Ahti Anttila, Sorana McLeish, Alexandra Ramssl-Sauer, Georg Ziniel, Theopisti Kyprianou, Pavlos Pavlou, Fofo Kaliva, Maria Tsantidou, Shaokai Zhang, Huifang Xu, Wali Mushtaq, Biviana Paredes Barragán, Alexandra Montalvo, Ana Victoria de la Torre Santos, Marie-Helene Guertin, Sarah Fournier, Nicolas Duport, Ondřej Májek, Ondřej Ngo, Urška Ivanuš, Katja Jarm, Maja Primic-Zakelj, Flávia de Miranda Corrêa, Arn Migowski, Marianna Cancela, Patricia Gallardo, Gisel Fattore, Adrián Puello, Víctor Polanco, Nieves Ascunce Elizaga, Valerie Fabri, Paola Mantellini, Marco Zappa, Eliane Kellen, Elsebeth Lynge, Vanessa Kääb-Sanyal, Daniela Malek, Youssef Chami, Rugile Ivanauskiene, Nensy Bandhoe, Claire Dillenbourg, Karin Heckters, Astrid Scharpantgen, Oris Mariela Ruiz, Geneva Mireya González, Elsa Arenas, Eduardo Alberto Palacios Cacacho, Alicia Pomata, Eliza Navarro, Milva Mencia, Gisela Abreu Ruiz, Ruth Campoverde, Claudia Camel, Rocío Donis, Yolanda Inés Sandoval, Heidy García, Omaira Isabel Roldán, Teresa del Carmen Moreno, Mario Morales Velado, Gina Merino, Juvenal A. Ríos, Sabrina Marte, Reina Oliva Hernández, Marina Anea Chacón, Xiomara Isabel Ruiz, Xiomara del Carmen Hernández Vivas, Roger Iván González, Damaris Isabel Medal Ruiz, Lourdes Ortega, Andrea Matos Orbegozo, Carlos Adolfo Chuquiyauri Haro, Miriam Dalmas, Fahriye Unlu, Loubna Abousselham, Rose-Marie De Waldt, Charlotte Buys, Yasine Hanna, Cathi-Ann Williams, Londi-Ann Ottey, Shana Philbert-Cyr, Crissah Emmanuel, Alexandra Jemmott, Nuno Augusto Alberto de Miranda, Stala Kioupi, Takelech Moges Asnake, Adel A. Attia, Gontse Tshisimogo, Lame Seema, Jonathan Chiwanda Banda, Feisul Idzwan Mustapha, Rosita Paulo Mugolo, Reginaldo de Alice Miguel Juliao, Mary Nyangasi, Valerian Mwenda, Sonia Tavares Ferreira, Carla Barbosa, Manala Makua, Yacubu Hervé Julius Bakare, Myanna Charles, Leandra Charles, Vera Edwards-France, Cheshta Sewtahal, Bridget Kebirungi, Mugabe Frank Rwabinumi, Valarie Williams, Oritta Zachariah, Arlitha Scott, Camille Deleveaux, Martin Campbell, Cesaltina Ferreira, Suraj Perera, Padmaka Silva, Vindya Kumarapeli, Merisa Grant-Tate, Cherie Tulloch, Kumiko Saika, Kyeongmin Lee, Jae Kwan Jun, Sona Franklin Mukete, Plamen Dimitrov, Vaida Momkuviene, Viačeslavas Zaksas, Piret Veerus, Tatjana Kofol Bric, Dominika Novak Mlakar, Ana Lucija Škrjanec, Jožica Maučec Zakotnik, Tamar Skhirtladze, Stephanie Xuereb, Carol Colquhoun, Suleeporn Sangrajrang, Kumar Eshwar, Greig Stanners, Roger Black, Trude Andreassen, Andras Budai, Lajos Döbrõssy, Attila Kovács, Florian Nicula, Isabel Portillo, Jone Miren Altzibar, Edurne Arenaza, Ndabaningi Simango, Josep A. Espinàs, Constance Glinton-Rolle, Jeanette Anews-Barr, Mariana Capote, Marisa Fazzino, Claire Armstrong, Andrew Gamble, Kenneth Mc Innes, Suzanne Wright, Helen Clayton, Radoslav Latinovic, Anne Mackie, Janet Rimmer, Clare Hall, Klara Miriam Elfström, Sven Törnberg, Manuel Zorzi, Marcis Leja, Dace Rezeberga, Marc Hagenimana, Françoise Hamers, Agnès Rogel, Frank Assogba, Patricia Fitzpatrick, Marc Arbyn, Jacqueline Figueroa, Alex Rovelo, Erosloa Salinas, Elías Yused Argüello, Adriana Milano Castillo, Velia Rosas, Stanislav Špánik, Merete Rønmos Houmann, Dorte Johansen, Joakim Dillner, Kunal Oswal, Yubei Huang, Ismail M. Siala, Michel Candeur, Sarah Hoeck, Josep M. Borras, Luc Bleyen, Bothwell Takaingofa Guzha, Adie Yao Mesmin Olivier, Elisabeth Fasching, Alexander Gollmer Gesundheit Österr Vienna, Tonoy Taohid, Walkiria Bermejo Bencomo, Darbelis Tejada, Joseph Psaila Valletta, Judy Nisbett, Damaris Baptiste, Melanie Ann Layne
Journal: Nature Medicine (2023)

Abstract The CanScreen5 project is a global cancer screening data repository that aims to report the status and performance of breast, cervical and colorectal cancer screening programs using a harmonized set of criteria and indicators. Data collected mainly from the Ministry of Health in each country underwent quality validation and ultimately became publicly available through a Web-based portal. Until September 2022, 84 participating countries reported data for breast ( n = 57), cervical ( n = 75) or colorectal ( n = 51) cancer screening programs in the repository. Substantial heterogeneity was observed regarding program organization and performance. Reported screening coverage ranged from 1.7% (Bangladesh) to 85.5% (England, United Kingdom) for breast cancer, from 2.1% (Côte d’Ivoire) to 86.3% (Sweden) for cervical cancer, and from 0.6% (Hungary) to 64.5% (the Netherlands) for colorectal cancer screening programs. Large variability was observed regarding compliance to further assessment of screening programs and detection rates reported for precancers and cancers. A concern is lack of data to estimate performance indicators across the screening continuum. This underscores the need for programs to incorporate quality assurance protocols supported by robust information systems. Program organization requires improvement in resource-limited settings, where screening is likely to be resource-stratified and tailored to country-specific situations.